Active NPIOrganization

Lifeguard Medical Group, LLC

Emergency Medicine in Chilmark, Massachusetts

NPI Number1548436538
Practice location
45 Blue Barque RD, Chilmark, MA 02535-2706
Fax
508-696-6864
Last updated
May 10, 2022

Lifeguard Medical Group, LLC is a healthcare organization based in Chilmark, MA. Lifeguard Medical Group, LLC practices in Chilmark, MA. The NPI Number for Lifeguard Medical Group, LLC is 1548436538. The current practice location address for Lifeguard Medical Group, LLC is 45 Blue Barque RD, Chilmark, MA 02535-2706 and can be reached out via phone at 508-696-6863 and via fax at 508-696-6864.

Provider Profile Details

NPI Number
1548436538
Provider Name
Lifeguard Medical Group, LLC
Provider Entity Type
Organization
Address
45 Blue Barque RD, Chilmark, MA 02535-2706
Phone Number
508-696-6863
Fax Number
508-696-6864
Primary Taxonomy
Emergency Medicine · 207P00000X
Organization Subpart
No
Authorized Official
Dr. Jeffrey R Zack, MD · Manager · 401-419-3826
Provider Enumeration Date
April 30, 2008
Last Update Date
May 10, 2022
Certification Date
May 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Blue Barque RD
Chilmark, MA 02535-2706
Zip
02535-2706
Phone Number
508-696-6863
Fax Number
508-696-6864
Chilmark, MA 02535Get directions →

Provider Business Mailing Address Details

Address
Po Box 1356
Oak Bluffs, MA 02557-1356
City
Oak Bluffs
State
MA
Zip
02557-1356
Phone Number
508-696-6863
Fax Number
508-696-6864

License Information

Taxonomy
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lifeguard Medical Group, LLC?

The NPI number of Lifeguard Medical Group, LLC is 1548436538. It was assigned on April 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Lifeguard Medical Group, LLC?

Lifeguard Medical Group, LLC is registered under the primary taxonomy Emergency Medicine (code 207P00000X).

Where does Lifeguard Medical Group, LLC practice?

The practice location is 45 Blue Barque RD, Chilmark, MA 02535-2706. The office can be reached at 508-696-6863 (phone) or 508-696-6864 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548436538 directly on the NPPES registry website.

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